The emergence profile is a crucial factor to facilitate favorable esthetic outcomes and maintain peri-implant health and stability. It should be evaluated not simply in terms of morphology but as a clinical variable closely related to materials properties, surface chemistry and clinical approaches; in this way, it is possible to achieve a comprehensive planning of this critical factor that can influence significantly the integration, stability and preservation of bone and soft tissues. Soft tissues integration and adherence onto prosthetic components represent paramount elements to preserve and protect bone from contamination and infection.
The lecture is conceived to present a prosthetic concept suggested as an operative strategy to preserve peri-implant hard and soft tissues and achieve predictable prosthetic outcomes optimizing soft tissues integration. A comprehensive evaluation of the emergence profile around dental implants to achieve ideal soft tissues adherence branches out into 3 main topics that can be listed in:
1) material, including biocompatibility, decontamination and surface chemistry and quality;
2) morphology, considering the design in the critical and sub-critical area; and
3) clinical approach that included surgical and prosthetic aspects.